Prevalence and Factors Related to Depression among Elderly People in Community Hospitals
Keywords:
Depression, Prevalence, Elderly, FactorsAbstract
This cross-sectional study aimed to study the prevalence, and predicting factors of depression among elderly people living in community hospitals. Sample was 410 elder people in community hospitals in Bueng Kan Province. Three screening tools, phq-2, phq-8, and phq-9, were implemented to screen depression. Data were analyzed by using both simple and multiple logistic regression.
Results showed that the point-prevalence of depression was 25.61%, with 7.32% of male population and 18.29%of female population suffering from this mood disorder. Multiple logistic regression analysis revealed that six factors were found associated to depression in elderly with statistical significance (p<0.05): divorced or separated marital status (OR=4.65, p<0.01, 95% CI=3.14-68.27), alcohol consumption (OR=10.81, p<0.01, 95% CI=2.68-43.56), loss of loved ones (OR=7.15, p<0.001, 95% CI=2.53-20.21), self-perceived health status (OR=5.71, p<0.05, 95% CI=1.31-24.86), insomnia (OR=4.67, p<0.01, 95% CI=1.64-13.32) and insufficiency of income (OR=3.67, p<0.05, 95% CI=1.22-11.07).
The level of depression in the elderly population, assessed by Q9, was 25.60%. The severity level was very low, low, moderate and severe (76.19, 14.28, 7.61 and 1.90%, respectively). Males had a tendency of depression yielding 19.36%, but no suicidal thoughts were detected. Females had a tendency of depression yielding 29.42%, and it was found that females had suicidal thoughts yielding 1.90% from the measurement with Q8. Six factors were found their relationships with depression in elderly.
The results could be benefit to develop prevention programs for reducing depression prevalence and its consequences in elderly population.
References
Arunpongpaisal, S., Kongsuk, T., Maneethorn, N., Maneethorn, B., Wannasawek, K., Leejongpermpoon, J., et al. (2009). Development and Validity of Two-Question Screening test for Depressive Disorders in Northeastern Thai Community. Asian J Psychiatr, 2, 149-52. (In Thai)
Beck, A. T., Ward, C. H., Mendelshon, M., Mock, J., & Erbaugh, J. (1961). An Inventory for Measuring Depression. Arch Gen Psychiatry, 4, 561-571.
Beck, A., & Alford, B. A. (2009). Depression: Causes and Treatment. Second Edition. University of Philadelphia, Pennsylvania: Pennsylvania Press.
Bhamani, M. A., Karim, M. S., & Khan, M. M. (2013). Depression in the Elderly in Karachi, Pakistan: a Cross Sectional Study. BMC Psychiatry, 13(1), 181-189.
Charernboon, T. (2011). Measures and Screening Tests for Depression in Thailand: A User’s Guide. Thammasat Medical Journal, 11(4), 667-676. (In Thai)
Cole, M. G., & Dendukuri, N. (2003). Risk Factors for Depression among Elderly Community Subjects: a Systematic Review and Meta-Analysis. American Journal of Psychiatry, 160(6), 1147-1156.
Han, K. M., Han, C., Shin, C., Jee, H. J., An, H., Yoon, H. K., & Kim, S. H. (2018). Social Capital, Socioeconomic Status, and Depression in Community-Living Elderly. Journal of Psychiatric Research, 98, 133-140.
Kansri, J., Malai, C., & Soonthornchaiya, R. (2018). Geriatric Depression and its Related Factors among Thai Elderly in Chainat Province. In ANPOR Annual Conference Proceedings, (pp. 45-45). (In Thai)
Katana, C., Linnastan, G., & Cooper, C, (2010). Functional Psychiatric Illness in Old Age. In Howard M. F, Kenneth R, Kenneth W, Editors. Brocklehurst’s Textbook of Geriatric Medicine and Gerontology 7th ed. Philadelphia: Saunders; p 433-6
Kongsuk, T., Kenbubpha, K., Sukhawaha, S., Yingyuen, R., Sukjai, S., Leejongpermpoon, J., et al. (2008). The Development and Validity of the 9-Question Depressive Disorder Diagnostic test in Thai I-San Dialects. Proceedings of The WPA Thematic Conference on Depression and Other Common Mental Disorders in Primary Care, Held in Spain, Granada, from June 18th to 21th, 2008; The 11th Congress of the ASEAN Federation for Psychiatry and Mental Health 26th-29th August, Thailand. Bangkok. (In Thai)
Liang, G., Arunpongpaisal, S., Kessomboon, P., Pinitsoontorn, S., & Kuhirunyaratn, P. (2009). Depression and Cognitive Impairment among the Community Dwelling Elderly in a Community of Khon Kaen: A Primary Care Setting Descriptive Study. Journal of Psychiatric Association Thailand, 54(4), 357-366. (In Thai)
Mousservi, S., Chatterji, S., Verdes, E., Tandon, A., Patel, V., & Ustun, B. (2007). Depression, Chronic Disease, and Decrements in Health: Result from the World Health Surveys. Lancet, 370, 851-8.
Murray, C. J., & Lopez, A. D. (1997). Alternative Projections of Mortality and Disability by Cause 1990-2020: Global Burden of Diseases Study. Lancet, 349, 1498-1504.
Smith, M., Segal, J., & Robinson, L. (2017). Suicide prevention. Help Guide.
Suttajit, S., Punpuing, S., Jirapramukpitak, T., Tangchonlatip, K., Darawuttimaprakorn, N., Stewart, R., & Abas, M. A. (2010). Impairment, Disability, Social Support and Depression among Older Parents in Rural Thailand. Psychological Medicine, 40(10), 1711-1721. (In Thai)
Wongpakaran, N. (2008). Geriatric Psychiatry in Thailand. J Psychiatr Assoc Thailand, 53, S39-46. (In Thai)
Wongpoom, T., Sukying, C., & Udomsubpayakul, U. (2011). Prevalence of Depression among the Elderly in Chiang Mai Province. J Psychiatr Assoc Thailand, 56, 103-16. (In Thai)
World Health Organization. (2010). The Global Burden of Disease. Retrieved March 24, 2010 from http//www.who.int/healthinfo/global_burden_diseaseGBD_report_2004update_ full.pdf
Yamane, T. (1973). Statistics an Introductory Analysis 3th. Singapore: Times Printers Sdn.
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